National Provider Identifier [NPI]: |
1891807301 |
Last Name Of The Provider |
BISHOP |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 W FEDERAL STREET |
Street Address 2 Of The Provider |
SUITE 9 |
City Of The Provider |
MIDDLEBURG |
Zip Code Of The Provider |
201181036 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
1667 |
Number Of Medicare Beneficiaries |
249 |
Total Submitted Charge Amount |
120330 |
Total Medicare Allowed Amount |
66304.17 |
Total Medicare Payment Amount |
46653.99 |
Total Medicare Standardized Payment Amount |
48501.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
837 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
10249 |
Total Drug Medicare AllowedAmount |
5812.22 |
Total Drug Medicare PaymentAmount |
4402.57 |
Total Drug Medicare Standardized Payment Amount |
4402.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
830 |
Number Of Medicare Beneficiaries With Medical Services |
249 |
Total Medical Submitted Charge Amount |
110081 |
Total Medical Medicare Allowed Amount |
60491.95 |
Total Medical Medicare Payment Amount |
42251.42 |
Total Medical Medicare Standardized Payment Amount |
44099.13 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
148 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
228 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7745 |